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  5. College Student Stree Survey Questionnaire
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Exit Survey
 
 
Age:
   
 
 
 
Gender:
 
Female
 
Male
 
 
 
Do you have a job?
 
No
 
Full-time
 
Part-time
 
 
 
What class are you in?
 
Freshman
 
Sophmore
 
Junior
 
Senior
 
Graduate Student
 
 
 
What is your major?
   
 
 
 
How many credits do you have this semester?
 
Under 16
 
16-18
 
Over 18
 
 
 
Are you a commuter (travel to school daily) or resident (live in campus housing)?
 
Commuter
 
Resident
 
 
 
Rate Each Source of Stress
 
 
 
Roomate
 
No stress
 
Slight Stress
 
Average
 
Above Average
 
Hard core
 
 
 
Living away or home
 
No stress
 
Slight stress
 
Average
 
Above average
 
Hard core